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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN FACKELMAN

Active Sole Proprietor

SUSAN FACKELMAN is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MINEOLA, New York. NPI 1437259777 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · MINEOLA, NY

Registration Details

NPI Number
1437259777
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2006 (19.894839346327 yrs)
Last Updated
Jul 14, 2020
Licenses
407482 (NY)
6675 (NY)
Sole Proprietor
Yes

Practice Information

Address
259 1ST ST
MINEOLA, NY, 115013957
Browse NY providers · Browse ZIP 11501
Phone
5166630333
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in MINEOLA, NY

Name Credential NPI
MR. FRANK JOSEPH DAUGHERTY CRNA 1790714152
TERRENCE MCDONOUGH 1174623326
EDWARD MCDONNELL 1225138571
JOAN SILKE 1518068675
MAUREEN CURTIN 1629178918
TARA DEITRICK 1497855704
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.